我國(guó)結(jié)核病的疫情狀況-全文預(yù)覽
【正文】 se ? OT（ +） 26 Tuberculosis prevention Drug prevention indication: ? 1 Close to contact open pulmonary tuberculosis in family ? 2 lower 3 years infant have not innoculation BCG。尿紅色。 ? continue treatment stage ? Combination two drugs to keep therapeutic effect for 12~18mo.(longer rang)or 4mo. (Shortrang) 。 (INH RFP) ? Half germicide： in acid or alkali environment kill cell interior or exterior TB， SM /PZA ? bacteriostatic： EMB（ ethambutol) ETH(ethionamide) 21 tuberculotherapy ? new antituberculosis to Anti drug resistant ? Rifamate(contain INH 150mg RFP300mg) ? Rifater(INH,RFP PZA) ? old drug derivant： Rifapentine ? New chemicals： Dipasic， to delay resistant INH drug ? standard treatment： ? refer to asymptomatic primarily pulmonary tuberculosis ? usage： INH+RFP177。 ? Primarily TB treatment in outpatient clinic and regularity return visit 。 5： bronchofiberscopy check： to definite Endotracheal membrane TB and tuberculosis of trachebronchial lymph nodes。 16 diagnosis （ 2） immunology and molecular biology test ? ELISA（酶聯(lián)免疫吸附試驗(yàn) ） ? ELIEP（酶聯(lián)免疫電泳技術(shù) ） ? DNA探針 ? PCR （聚合酶鏈?zhǔn)椒磻?yīng) ） ? 線條 DNA探針雜交試驗(yàn) ? ESR (血沉 )。 ? from（ ） to（ +）、 from 10mm to 10mm ,or increase 6mm by activeness TB.。 11 diagnosis ? reaction – 5mm() – ≧ 5mm(+) – 1019mm(++) – ≧ 20mm(+++) – Super reaction :induration、 vesic 、 local ulceration (++++)。 9 diagnose ? 1 history – TB toxic symptom – to contact TB patient – BCG vaccination – acute infection:measles， pertussis – Supersensitivity ? erythema nodosum、 exanthematous conjunctivitis。 ? Growth torpidity , culture need 46 weeks. ? Typing : human type 、 bovine type 、 Bird type、m
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